THE JEWISH CENTER RELIGIOUS SCHOOL FAMILY PAGE

Transcription

1 THE JEWISH CENTER RELIGIOUS SCHOOL FAMILY PAGE Please complete this form and return it by May 15, 2017 with a deposit for each child enrolled. Parent #1 Parent #2 Name Name Home Address Home Address Home Phone # Home Phone # Cell # Cell # Work # Work # Jewish (Please Circle): Yes No Jewish (Please Circle): Yes No Parent #3 Parent #4 Name Name Home Address Home Address Home Phone # Home Phone # Cell # Cell # Work # Work # Jewish (Please Circle): Yes No Jewish (Please Circle): Yes No Mailings - Please send information to (Please Circle): Parent #1 Parent #2 Parent #3 Parent #4 All s -- Please send to (Please Circle): Parent #1 Parent #2 Parent #3 Parent #4 All ============================================================================================ Ganon (3-4 yo), Gan Katan (pre-k), Gan (K), Alef (1 st ), Bet (2 nd ) Gimmel (3 rd ), Daled (4 th ), Heh (5 th ), Vav (6 th ) Zayin (7 th ) Child #1 Child #2 Name Name Hebrew Name Hebrew Name School Attending School Attending Grade Grade _ Birthday Birthday Child #3 Child #4 Name Name Hebrew Name Hebrew Name School Attending School Attending Grade Grade _ Birthday Birthday NOTE: For Gimmel, Daled, Heh and Vav students please fill out ADDITIONAL form for selection of classes.

2 Deposit Amounts Please check the correct option. Amount (# of children x fee) Up to May 15, 2018: A $50 deposit per child is enclosed which will be credited toward tuition. Families new to our community: A $50 deposit per child (regardless of date registered) is enclosed and will be credited toward tuition. A late fee of $50 per family will be applied after May 15, 2018, which does not go towards tuition. Credit Card Information Amount $: Credit Card (Please Circle): Visa Mastercard AmEx Account #: Expiration Date: _ Print name as it appears on card: Signature: Office Use Only F CW DB FF

3 Please check the correct option PHOTO RELEASE THE JEWISH CENTER RELIGIOUS SCHOOL PERMISSION and RELEASE FORM Family Name I GIVE permission to The Jewish Center to use photographs of my child(ren),,,, and/or myself, including my/our name(s), in any social media venues. I do NOT give permission to The Jewish Center to use photographs of my child(ren),,,, and/or myself, including my/our name(s), in any social media venues. Note: TJC s standard practice is that photographs are NOT routinely placed with children s names in print or on Facebook, as well as TJC s Facebook page is set up to prevent people from tagging photos. = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = Please check the correct option FRIEND FINDER I GIVE permission to use all contact information including my name, child(ren) s name(s), address, and phone number for the Friend Finder. I do NOT give permission to use all contact information including my name, child(ren) s name(s), address, and phone number for the Friend Finder. Note: The Friend Finder can be used to encourage as well as promote community among our students and parents. Families can use it to help set up play-dates, call other families to go to synagogue events and to keep in touch with one another. The contact information is only used within the Religious School community. = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = Please check the correct option WALK HOME I GIVE my child(ren),,,, permission to walk and/or bike home from Religious School on the day(s) he/she attends. I do NOT give my child(ren),,,, permission to walk and/or bike home from Religious School on the day(s) he/she attends. Print Name: Signature:

4 THE JEWISH CENTER RELIGIOUS SCHOOL MEDICAL and INSURANCE FORM Note: Please specify ALL allergies - please supply us with as much information as possible. Parent Name(s) Family Name _ Please name a non-parent contact person who is available during Religious School hours. Name _ Relationship to child(ren) Home Phone Cell Phone Child(ren) s Physician Phone number _ Physician s Address Child s Name Insurance Company Name / Policy Number Child #1 Grade / Child #2 Grade / Child #3 Grade / Child #4 Grade / In the event that I/we or my/our contact person cannot be reached in an emergency situation, we authorize The Jewish Center to obtain emergency medical treatment for my/our child(ren). By signing this form, I/we hereby confirm that The Jewish Center will not be responsible for any cost incurred for medical care as a result of an injury or illness to my/our child(ren) listed above. Parent or Guardian Signature: Date:

5 THE JEWISH CENTER RELIGIOUS SCHOOL ADDITIONAL EDUCATION INFORMATION FORM Please review this form and complete if applicable for your child(ren). Family Name I am interested in Special Education Programming. My/our child (name) is classified and receives Special Education Services in school. My/our child (name) is not classified but has the following special needs and/or learning challenges: Please indicate any other information that we should know about your child (i.e. personal issues, family issues, etc.). Print Name _ Signature:

6 Registration Form: Gimmel and Daled (3 rd and 4 th Grade) Name of Student: Please Circle Student s Grade: Gimmel (3 rd ) or Daled (4 th ) Step 1: Please indicate which trimester student will be attending Shabbat. One trimester per year has to be Shabbat. Circle the appropriate choice: SHABBAT (Circle ONE): Fall Winter Spring Step 2: For each trimester, please circle at least two days the student will be attending. If you have chosen Shabbat for that trimester you are to choose at least ONE additional day. Step 3: After you have indicated the day your child will be attending Religious school classes, please rank your class choices below: (1 is first choice, 2 is second choice, 3 is third choice). Classes offered will be dependent upon demand. Fall Origin of Humanity Chasidic Stories The Jewish Calendar Torah Heroes Ritual Objects What s in the Bible Passport to Israel Fall Jewish Holidays Winter Founding Families My Synagogue Israel Today Famous Torah Stories From Zion and Back Jewish Values in Genesis From Kiddush to Havdalah Life Cycle Spring The Judges Jewish Folktale Pesach 10 Commandments Tzedakah Joseph Life and Dreams Israeli Heroes From Temple 1 to Temple 2 ** Course descriptions are in a separate document that will be ed to you. If you do not receive it, please call the office.**

7 Registration Form: Heh and Vav (5 th and 6 th Grade) Name of Student: Please Circle Student s Grade: Heh (5th) or Vav (6th) Step 1: Please indicate which trimester student will be attending Shabbat. One trimester per year has to be Shabbat. Circle the appropriate choice: SHABBAT (Circle ONE): Fall Winter Spring Step 2: For each trimester please circle at least two days the student will be attending. If you have chosen Shabbat for that trimester you are to choose at least one additional day. Step 3: After you have indicated the day your child will be attending Religious school classes, please rank your class choices below: (1 is first choice, 2 is second choice, 3 is third choice). Classes offered will be dependent upon demand. Fall Navigating the Siddur Diversity in Israeli Society Jewish Communities Around the World Dead Sea Scrolls The Middle East Prophets with Modern Twist Women in the Bible Anti-Semitism Winter The Kings of Israel Jewish Great Debates Caring for Community Time Line of Jewish History Jewish Arts & Artists Bible and Beyond Jews in the Muslim World Kashruth Spring Megilat Ester Comparative Religion Celebrating the Jewish Year Megilat Ruth Jewish Values in Science Fiction Famous Bible Stories Zionism Jewish Humor ** Course descriptions are in a separate document that will be ed to you. If you do not receive it, please call the office **